excimer laser coronary atherectomy system  (Philips Healthcare)

Journal: JACC Case Reports

Article Title: Complex Retrograde CTO-PCI With Laser Atherectomy and a Novel Tip-In Technique Into a Guide Catheter Extension

doi: 10.1016/j.jaccas.2026.107651

Figure Lengend Snippet: Laser Atherectomy in the Proximal-Mid LAD Using an 0.9-mm Excimer Laser Coronary Atherectomy System

Article Snippet: Retrograde CTO-PCI with laser atherectomy • Suoh 03 wire (Asahi Intecc) • Caravel microcatheter (Asahi Intecc) • Corsair Pro XS microguide catheter (Asahi Intecc) • RG3 wire (Asahi Intecc) • Gaia Next 2 and Gaia Next 3 (Asahi Intecc) • BMW wire (Abbott) • Everolimus drug-eluting stent 4.0 × 48 mm (Abbott) • 0.9-mm excimer laser coronary atherectomy system (Philips).

Techniques:

Journal: JACC Case Reports

Article Title: Complex Retrograde CTO-PCI With Laser Atherectomy and a Novel Tip-In Technique Into a Guide Catheter Extension

doi: 10.1016/j.jaccas.2026.107651

Figure Lengend Snippet: Right Coronary Artery Percutaneous Coronary Intervention Final Steps Left heart catheterization showing (A) 0.9-mm laser atherectomy performed without difficulty. (B) The right coronary artery lesion was predilated with an NC balloon, and percutaneous coronary intervention was performed using a 4.0 × 48 mm drug-eluting stent. (C) Final image of the right coronary artery highlighting the collaterals to the left anterior descending artery.

Article Snippet: Retrograde CTO-PCI with laser atherectomy • Suoh 03 wire (Asahi Intecc) • Caravel microcatheter (Asahi Intecc) • Corsair Pro XS microguide catheter (Asahi Intecc) • RG3 wire (Asahi Intecc) • Gaia Next 2 and Gaia Next 3 (Asahi Intecc) • BMW wire (Abbott) • Everolimus drug-eluting stent 4.0 × 48 mm (Abbott) • 0.9-mm excimer laser coronary atherectomy system (Philips).

Techniques:

Journal: JACC Case Reports

Article Title: Complex Retrograde CTO-PCI With Laser Atherectomy and a Novel Tip-In Technique Into a Guide Catheter Extension

doi: 10.1016/j.jaccas.2026.107651

Figure Lengend Snippet: LAD CTO Percutaneous Coronary Intervention Final Steps Left heart catheterization showing (A) dual injection system. (B) FineCross catheter advanced to the second septal branch and BMW wire placed in the distal LAD; converted to antegrade approach. (C) An 0.9-mm laser atherectomy performed in the left anterior descending artery. (D) Final angiogram of the left anterior descending artery showing TIMI flow grade 3. The upper arrow in B indicates FineCross catheter and the lower one in indicates Suoh 03 wire in the distal septal branch. The arrow in C indicates tip of the laser atherectomy catheter.

Article Snippet: Retrograde CTO-PCI with laser atherectomy • Suoh 03 wire (Asahi Intecc) • Caravel microcatheter (Asahi Intecc) • Corsair Pro XS microguide catheter (Asahi Intecc) • RG3 wire (Asahi Intecc) • Gaia Next 2 and Gaia Next 3 (Asahi Intecc) • BMW wire (Abbott) • Everolimus drug-eluting stent 4.0 × 48 mm (Abbott) • 0.9-mm excimer laser coronary atherectomy system (Philips).

Techniques: Injection

Journal: Journal of Cardiovascular Development and Disease

Article Title: Coronary Artery Calcium and Aging: Physiological Basis, Assessment, and Treatment Options in Percutaneous Coronary Intervention

doi: 10.3390/jcdd11070224

Figure Lengend Snippet: Case 1. Left coronary artery with left anterior descending (LAD) artery subocclusive stenosis ( A ). Orbital atherectomy attempt on LAD: The nose of the device is not crossing the lesion and the crown is not working. We can observe the tension from pushing the device and the ViperWire getting retracted ( B ). Dissection of proximal LAD and complete occlusion of the vessel. The patient had ST elevation and is unstable ( C ). Switch to RotaWire with microcatheter and rotational atherectomy ( D ).

Article Snippet: Finally, excimer laser coronary atherectomy devices (ELCA; Spectranetics, Colorado Springs, CO, USA) use focused laser energy to generates transient high-pressure waves that vaporize calcified plaques through a photoacoustic mechanism [ ].

Techniques: Dissection

Journal: Journal of Cardiovascular Development and Disease

Article Title: Coronary Artery Calcium and Aging: Physiological Basis, Assessment, and Treatment Options in Percutaneous Coronary Intervention

doi: 10.3390/jcdd11070224

Figure Lengend Snippet: Case 3. OCT scan showed calcific plaque of mid left anterior descending (LAD) artery ( A ); OCT scan showed an emptied plaque of proximal LAD ( B ); orbital atherectomy on LAD ( C ); good result of atherectomy on LAD ( D ).

Article Snippet: Finally, excimer laser coronary atherectomy devices (ELCA; Spectranetics, Colorado Springs, CO, USA) use focused laser energy to generates transient high-pressure waves that vaporize calcified plaques through a photoacoustic mechanism [ ].

Techniques:

Journal: Cardiology Journal

Article Title: Coronary laser with simultaneous contrast injection for the treatment of stent underexpansion

doi: 10.5603/cj.96438

Figure Lengend Snippet: Koninklijke Philips N.V. (San Diego, CA, USA) CVX-300 excimer laser coronary atherectomy system with its monorail catheter.

Article Snippet: Excimer laser coronary atherectomy (ELCATM Coronary Laser Atherectomy Catheter; Koninklijke Philips N.V. San Diego, CA, USA) can potentially debulk and ablate the tissue around the underexpanded stent and subsequently assist in balloon dilation within the stent as evidenced in several studies [ , ].

Techniques:

Journal: Cardiology Journal

Article Title: Coronary laser with simultaneous contrast injection for the treatment of stent underexpansion

doi: 10.5603/cj.96438

Figure Lengend Snippet: Basal and procedural details

Article Snippet: Excimer laser coronary atherectomy (ELCATM Coronary Laser Atherectomy Catheter; Koninklijke Philips N.V. San Diego, CA, USA) can potentially debulk and ablate the tissue around the underexpanded stent and subsequently assist in balloon dilation within the stent as evidenced in several studies [ , ].

Techniques: Biomarker Discovery

Journal: Cardiology Journal

Article Title: Coronary laser with simultaneous contrast injection for the treatment of stent underexpansion

doi: 10.5603/cj.96438

Figure Lengend Snippet: Quantitative intravascular ultrasound features

Article Snippet: Excimer laser coronary atherectomy (ELCATM Coronary Laser Atherectomy Catheter; Koninklijke Philips N.V. San Diego, CA, USA) can potentially debulk and ablate the tissue around the underexpanded stent and subsequently assist in balloon dilation within the stent as evidenced in several studies [ , ].

Techniques:

Journal: Cardiology Journal

Article Title: Coronary laser with simultaneous contrast injection for the treatment of stent underexpansion

doi: 10.5603/cj.96438

Figure Lengend Snippet: An 87-year-old woman admitted to the documented center due to non-ST-segment elevation myocardial infarction underwent a coronary angiogram. A severe calcified stenosis of the left anterior descending coronary artery (LAD) proximal segment was appreciated during the coronary angiogram, although the injection provoked left main (LM) dissection, which spread antegradely as well as retrogradely to the sinus of Valsalva and ascending aorta ( A ). Any additional injection was avoided, and in order to seal the dissection, the operator decided to implant a direct 3.5 × 16 mm drug eluting stent (DES) in LM-LAD after verifying the correct positioning of the guidewire into the true lumen by intravascular ultrasound (IVUS). However, an important underexpansion in the distal part of the stent was detected ( B ). Dilation with a non-compliant 3.5 × 12 mm balloon could not overcome the underexpanded point ( C ), and an intravascular lithotripsy (IVL) balloon was unable to cross the lesion. The IVUS probe did not cross the tight point either. Excimer laser coronary atherectomy 0.9 mm with a fluency and frequency of 45 mJ/mm 2 and 25 Hz, respectively, and simultaneous contrast injection was used. Afterward, the same non-compliant balloon overcame the stent underexpansion ( D ). The proximal and mid segment of the LAD was significantly diseased, so the procedure was completed by applying a cutting balloon and IVL and implanting a second DES, overlapped with the previous one. A successful angiographic result was achieved with a complete sealing of the dissection at the level of the sinus of Valsalva ( E ), and the patient had an uneventful hospital stay.

Article Snippet: Excimer laser coronary atherectomy (ELCATM Coronary Laser Atherectomy Catheter; Koninklijke Philips N.V. San Diego, CA, USA) can potentially debulk and ablate the tissue around the underexpanded stent and subsequently assist in balloon dilation within the stent as evidenced in several studies [ , ].

Techniques: Injection, Dissection